HomeMy WebLinkAboutPermit Building 1996-01-25siPR!NGFIELD
RESIDENTIAL PERMIT APPI.ICATION
CITY OF SPRINGFIELD
COMIII'NITY SERVICES DTVISION
BUII,DING SAFETY
Page 1
ilob Number: 960032
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 355 S 34TH ST
Assessors Map #: 1-7023L34
Lot: Block:
office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 00503
Subdivision:
CITY OF SPruNGFIELD, ONEGON
owner: RoBIN/PEG THOMAS
Address: 397 S 34TH STREET
Describe Work: S.F. RESIDENCE
Phone #: 74L-8785
ciEylstate/zr-p: SPRINGFIELD, OREGON 97478
NEW
ContracEor
ConEt.
Contractor #Expiree Phone
7 4L- 87 85General:Oi^INER
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1058
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To request an inspection, call the 24 hour recording aL 726-3769.
A11 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.
FOTNDATION - After forms are erected but prior Lo concrete placement.
ITNDERFLOOR PLTMBING - Prior to insulation or decking.
POST AI{D BEAITI - Prior to floor insul-at,ion or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLITMBING - Prior to cover.
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAT SERVfCE - Must be approved to obtain permanent power.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/CeiLing; Prior to cover
DRYITIALL - Prior to taping.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHATiIICAL - When all- mechanical work is complete.
WOOD STOVE - After instalfation.
FINAL ELECTRICAT - When al-1 electrical work is complete.
FINAL BUILDING - When aII required inspecLions have been approved and
the building is complete.
Lot Faces: W
Topography: 2
Solar Approved: Y
House
Lot Sq. Ft.: 5000
Total Height: 1-4
Lot Type: PANHANDLE
Setbacks
SWE
25 30 30
Lot Coverage: 1,7.8 %
Setbk From NPL: 15
N
1-2
Item
Main
--- BUILDING PERMIT ---
Square Feet x
1068
$/Square Feet
56.2
Val-ue
60 , 022 .00
SPRINGFIELD
Job Number: 960032
OTT OF SPilNGFIELT', ONEGON
Page 2
Garage
Total Value
Building PermiE Fee
Surcharge/admin
TOTAL FEE
0
6O ,022
25L
20
00
00
50
13
(A)27 L .63
--- SYSTEMS DEVELOPMENT CIIARGE (SDC)
(B)L, L7 4 .02
Systems DevelopmenE Charge is due on al-I undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT .--
Item
Residential Bath(s)
Sanitary Sewer
Water
1
135
200
Plumbing Permit
surcharge/admj-n
TOTAI, CHARGE (c)
Fee
9L.20
25 .00
40.00
L56 -20
1,2 .50
158.70
--- MECII,AI{ICAI, PERMIT ---
Exhaust Hood
Vent Fan
Wood Stove / ]nserL / Fireplace Unit
Dryer Vent
IN LIEU ASSMT
WILLAJVIiLLANE SDC
ELECTRICAL PERMIT
TOTAL PERMIT
1 3
15
3
0
0
0
50
00
00
00
00
00
00
25
10
2
50
00
05
(D)37.55
--- MISEELLATiIEOUS PERMITS
Surcharge/admin
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MISCELTA.I{EOUS PERMITS
0
l_, 000
108
00
00
00
(E)1, 108 . 00
(Excluding Electrical)
unlese otherwise noted
--- TOTAI. AMOI'NT DUE ---
(A, B, c, D, and E combined)2,759.90
BUITDING VALUE, PLAI'I CHECK AI.ID BUILDING PERMIT
This permit is granted on the express condiLion that the said construction
sha1I, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construcLion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Mechanical Permit
Issuance
Surcharge/admin
SPFINGFIELD
Job Number: 960032
cffroF ONEGON
Page 3
Plan Check Fee: 153 .48
Received By:
PLans Reviewed By: DON MOORE
DaLe Paidt OL/08/96
Date: oL/24/96
Receipt Number: 20001
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1: SEPARATE ELECT. PERMIT IS REQUIRED: ENGINEERED DRY WE],L IS REQUIRED
STORM DRAfNAGE: ENCROACHMENT PERMTT IS REQUIRED FOR CONNECTION OF SEWER LINE
By signatsure, 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 certify that any and aLl work performed
shalI 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 wil-I be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with oRs 701.055 wil-l be
used on this project.
I further agJree to ensure that al-l- reguired inspections are requesEed at the
proper time, that each address is readable from the sLreet, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all times during consEruction.
1-ts-?6
Signature Date
Receipt Number:
Date Paid:
Amount Received:
Received By:
--. VALIDATION ---
fa.-,,^
/) r-rr-[/'-e-a / hnr,+
SPCT. .;FIELO
The f rilcwing prcriect "* 6u5rii!t6rl.ha's the
i,,:;.i, ^'iirtbes
nct raquito spociiio lr'ntl
a1:;i::+'ral'
SPRINGFTELD, OREGON 974]7
INSPECTION REQUESTT -//'$'ti!$$.:'s:'
OFFICE: 726-3759
1. LOCATION Oi? INST ON
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days. ,
,
2. CONTRACTOR INSTAII-A,TION OI{LY
Electrical Contractor
Address
Ci ty Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Address 31 7 5,i4Z s/;
ciry 3tn 4o ,Phone-----------T-7-
OVNER INSTALLATION
The installation is being made on
property I ovn vhi.ch is not intended
for sale, lease or rent.
0vners Signature:
DATE:
RECEIPT
ELECTRICAL PERHTT APPLICATION
ob Number
3. COHPI.,ETE FEE SCEEDTII-E BELOS
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less L--'
Each additional 500
sq. ft or portion
thereof 1-
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder
$ 8s.00
s i.s.00
s 40.00
C
00
00
00
00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
5 tq
Sum
t€*
luo
B
00
00
00
00
00
00
60
100
130
300
40
s
s
s
s
s
s
50.
200 amps"or less L--- $ 40.00
201 amps to 400 amps S 55.00
over 4b1 to 600 amps
-
S 80.00
Over 600 amps or 10001o-ITs see I'B,a6ove
D- Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each install-ation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
s 40.
S 40.
$ 20.
S 36.
5
RECEIVED B
/oo?' J'OO
_ ?F
/oea
LEGAL DESCRIPTTON/7o2- 3l z4 aoeos
:
Willamalane
Park & Recreation District Job. No.
\DDD,OD
\CDD,M
pment Servi
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHOtlE:
ADDRESS:5 srArE: &zte qal?
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Singte-Family Detached
1\. Single Family home
NO. OF UNITS
appropriate dwelling(s). SDC catqllations and dwelling t
Manufactured home not in a Park
\X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Muhi-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) SDCpayer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED \DOD,OD(if SDC reduced for Credit)
$
$
$
$
c
*n -zf t 76
D
City of Springfield
nt Date
rax Lot rur*urr,. flDZj\3*OOSQ3
=$
=$
-t/
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEIiIT CHARGE
(RESIDENTIAT)
Name or Company: RoBIN/PEG THoMAS
Location: 355 S 34TIt ST
Developement T)4)e: R Building Size:
Job No. : 950032
Lot Size:Sq Ft
1. STORM DR,AINAGE
Impervious Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRATiISPORTATION
Number Of Units
1X
11
X Trip Rate
1.010 x
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
Cost Per Trip
437.93
Y
$442.3L
$0.00
$477 .'73
$442.3L
$215.2s
$18 . 18
$198.07
$1, 118 . 11
$ss.91
Transportati-on TotaI
4. SA.}IITARY SEWER - MT'MC
Number Of PF"Us
11
x
x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MhMC SDC
SITBTOTAL - (Add Items l-, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X 0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER Date: oL/LL/96
$1, L74.01_
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